TJU Archives - Absentee Reference Request Form

Absentee Reference Form

Thank you for your request for information from the Thomas Jefferson University Archives and Special Collections.

The University Archives strives to provide services of the highest quality for the University as well as the general public, but its staff resources are limited. Naturally, our first priority must be to meet the administrative and research needs of the Jefferson community. Nevertheless we will gladly fulfill absentee requests from non-university patrons, as time permits and in accordance with the reference services fee outlined below.

A non-refundable deposit of $15.00 is required for the first 30 minutes of research time.
Research in excess of 30 minutes is charged at a rate of $7.50 per quarter-hour.
You may choose to limit research time on the consent form below; if no such limit is specified, it is understood that you have agreed to pay all charges accruing from a focused and efficiently conducted reference search.
Photocopies, if any, will be provided for $0.25 per page plus a $2.00 departmental fee. You will be billed for the balance due when the research is completed.

The general public is welcome to visit the Archives in person and thus avoid all fees. Public hours are Monday through Friday from 1:30 until 5:00. If you are unable to do this and want the Archives staff to proceed with the research, please:

Print this page or download the form as a Word document (28 KB) or PDF document (95 KB).
Complete and sign the agreement below.
Mail the completed form, with a check or money order for $15.00 (made payable to Thomas Jefferson University) to:

University Archives & Special Collections
Room 401, Scott Memorial Library
Thomas Jefferson University
1020 Walnut Street
Philadelphia, PA 19107-5587

Thank you for your interest in the Thomas Jefferson University Archives and Special Collections. If you have any questions, please call 215-503-8097.

I understand the University Archives and Special Collections reference fee policy and ask the Archives staff to proceed with the research I requested. I enclose a check or money order (payable to Thomas Jefferson University) in the amount of $15.00 as a non-refundable deposit.

Name: ____________________________________

Address: __________________________________

Phone: ____________________________

Email: ____________________________

Research Topic:

Special Instructions:

Research time not to exceed ____ minutes. [Optional]

Signature: _________________________________

Date: ____________________________________